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The alphanumeric designation 96372 identifies a specific medical procedure involving the administration of a substance. It describes an injection performed subcutaneously or intramuscularly. For example, a physician administering a vaccine via intramuscular injection would likely utilize this code for billing purposes.

Accurate application of this identifier is critical for proper claim submission and reimbursement within the healthcare system. Its use facilitates clear communication between healthcare providers and insurance companies, ensuring that appropriate compensation is provided for services rendered. Furthermore, the standardized nature of such codes allows for data analysis and tracking of trends in healthcare delivery.

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The Current Procedural Terminology (CPT) code 99490 designates chronic care management services, requiring at least 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month. This code is used for patients with two or more chronic conditions expected to last at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline. For example, a patient with diabetes and hypertension, both long-term conditions requiring ongoing management, might qualify for services billed under this specific code if their care necessitates at least 20 minutes of monthly care coordination and management by clinical staff.

Proper utilization of this coding mechanism facilitates comprehensive patient care and improved health outcomes, particularly for individuals managing complex chronic illnesses. By recognizing and reimbursing for non-face-to-face care coordination, the healthcare system incentivizes proactive management, potentially reducing hospital readmissions and improving overall quality of life. Historically, reimbursement models often prioritized acute interventions over preventative care. This code represents a shift towards recognizing the value of ongoing care management in maintaining patient stability and preventing disease progression, particularly in the context of an aging population with increasing prevalence of chronic conditions.

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This alphanumeric designation represents a specific level of evaluation and management service provided to an established patient. It signifies a face-to-face encounter involving a limited examination of the patient and straightforward medical decision-making. For example, this might be used when a patient returns for a follow-up appointment regarding a previously diagnosed condition, such as uncomplicated hypertension, where a brief review of symptoms and medication management is sufficient.

Accurate use of this coding system ensures appropriate reimbursement for healthcare providers. It contributes to the collection of standardized medical data, facilitating analysis of healthcare trends and outcomes. Historically, its introduction streamlined billing processes and provided a common language for describing medical services across different healthcare settings, increasing transparency and consistency.

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